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Choroidal Effusion after Consecutive General Anesthesia
연속적인 전신마취 후에 발생한 맥락막박리
JKOS 2019 Sep;60(9):892-5
Published online September 15, 2019;  https://doi.org/10.3341/jkos.2019.60.9.892
Copyright © 2019 The Korean Ophthalmological Society.
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Na Ri Park, MD, Jee Taek Kim, MD, PhD
박나리 · 김지택

Department of Ophthalmology, Chung-Ang University Hospital, Chung-Ang University College of Medicine, Seoul, Korea
중앙대학교 의과대학 중앙대학교병원 안과학교실
Received December 27, 2018; Revised February 13, 2019; Accepted August 16, 2019.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
 Abstract
Purpose: To report a case of extensive choroidal effusion following the Valsalva maneuver under consecutive general anesthesia.
Case summary: A 41-year-old man who underwent panretinal photocoagulation with proliferative diabetic retinopathy had pars plana vitrectomy and endolaser photocoagulation under general anesthesia due to vitreous hemorrhage. Urology cooperated as the patient had hematuria; the day after the operation, he was transferred to the urology department. Two days after vitrectomy, the patient had an urgent transurethral bladder tumor resection under general anesthesia with suspicion of bladder tumor. At 6 days postoperatively, extensive choroidal effusion was observed from 8 to 10 o′clock on fundus examination and ultrasonography. On day 23 after urological surgery, the choroidal effusion had disappeared without treatment.
Conclusions: Consecutive general anesthesia requires caution, as it is not only burdensome to the body as a whole but may also cause choroidal effusion in the eye.
Keywords : Choroidal effusion, General anesthesia, Valsalva maneuver

 

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